Tornwaldt cyst

Case contributed by Abdel-Rahman Abdel-Halim
Diagnosis almost certain

Presentation

Headache and dizziness

Patient Data

Age: 65 years
Gender: Female
mri

A small (1 cm) midline nasopharyngeal well circumscribed lesion of fluid signal is noted.

Prominent cortical sulci and extra-axial CSF spaces (mild age-related involutional changes). 

Case Discussion

Incidentally seen small well circumscribed cystic lesion situated between the longus colli muscles is consistent with a Tornwaldt cyst. Tornwaldt cysts are asymptomatic unless infected or complicated.

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